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s�a-7ao-oo2a City of Zephyrhills�Fir:e�� Fax-813-780-0021 <br /> Permit Application � <br /> )ate Received - Phons Contactfor Permit ���i� <br /> :�:s:5��s::.��,�o.,..�. �.��A::��s�a�sm�� :�...�,..,.�..�..�.� . _. . . ._.__...�_.__ <br /> }wne�s Name Owne�'S Phone Number � �lsl.@.J U„��� <br /> )wneTs Address 3� l ��\ � V <br /> 'ee Simple Titleholdei Name Titleholder Phone IVumber � � <br /> =ee SimpleTitieholderAddress <br /> �.'�r�'it.��'i��.�'S",�,� • "�`'�.?�� �{D�":3�F�?:�-�i::i'����.°�` <br /> Joh Address � (3 ..Q .�j3 7 Lat# C <br /> Sub Division �' O Q ` Pa I# �J � '" - ���� ' t7lJO� . ��� <br /> �- �� �;��.<ua�_-�te:�A:������:�:�=�.�=•.�.u <br /> � S1aHazard Waste 5torage-ANNUAL � FumigaUon Tent <br /> � Comm Exhaust Kltchen HoodlDuct � Naza►dous Materlal(Tier I�or RQ Faclliiy}ANNUAL <br /> � ConVolled Bum � Hood Insiallation <br /> QEmergency Generator<30 kw � LP/Naturef Gas-Installation <br /> Emergency Generetor>30 kw � LP1Natural Gas-ANNUAt Sale <br /> Firs Protection Mairrtenance-ANNUAL � Places of Assembly-ANNUAL <br /> r y emi � er � ,r/� z <br /> 5prinkler � ❑ O ❑ � � Raereatlonal Bum ��(`r � <br /> Fire Alartn ❑ ❑ }� � � Sparklers � ,� 2� � <br /> l �� <br /> Hood CleaNng ❑ O '❑ � � Sprinkler System Installatlons it t�„ <br /> Hood Suppression � ❑ ❑ p C� � Standpipes(Sp�nkler Sys) �� <br /> � Fire Alartn instaliation � Torch RooftnglTar KetUe <br /> Fire Pumps a Weate Tfre Storage ANNUAL <br /> Fire Works • <br /> FlammableApplicaElon-ANNUAL r Valuation af Project <br /> Fuet Tanks <br /> � �tfl@f: <br /> �"'vxsrn�.'�i <br /> Contractor -� <br /> Comparry " � ��,� �! := .ir .�Cit - �:, <br /> Signature ' Registered Y N Fee Current N <br /> Address 1� �, - � � '- �'' License# J l`', 1 i� <br /> ELECTRICIAN Campeny <br /> 5lgnature Registered Y/N Fee Curtent Y/N�— <br /> Address Ucense# <br /> PLUMBER Company <br /> Signature Reglstered �(/nf Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y�N Fee Current Y/N � <br /> Address <br /> License# <br /> O7HER Company <br /> Signature Registered Y/N Fee Current �'/N <br /> Address License# <br /> "'�`�-.-� � �..�-���.....,._..��,�,_ , <br /> �w�,.y.,.....:yy'�:�: . ....�,.,....._...:...... .....�.:___.��.:.,_.,,�.,�.......�.._:�-_.�.�r„'�4:^.�wr..r <br /> Directions: <br /> Fill out�pplication completely. <br /> Owner 8,Contractor sign back of appiicatior�,notarized(Or,copy of algned cvnUact with ownar) <br /> if over$2500,a Notice of Commencemant is required(Mechanical work over�5000) <br /> SuppYy two(2)sets of drawings with applicable documentation <br /> Ailow 10-14 days for review after suhmittal date. Parcel#-obtained from P�operty Tax Notiae(http://appraiser.pasoogav.com) <br />